2019-01-24 Form 501 - KorsCandidate Intention Statement Date Stamp CALIFORNIA 50 1
FORM
Check One: IZJinitial 0 Amen dment (Explain )---------------
For Orticial Use Only
1. Candidate Information:
NAME OF CANDIDATE (Last . First Middle Initial)
Kors, Geoffrey R
STREET ADDRESS
OFFICE SOUGHT (POS ITION T ITLE )
C ity Councilm ember
OFFICE JU RISDI CTION
0 State (Complete Part 2.)
181 City 0 County 0 Multi-County:
AGEN CY NAME
DAYTIME TELEPHONE NUMBER
(
CITY
Palm Springs
Palm Sp rin gs City Council
(Name of Multi-County Jurisdiction)
2. State Candidate Expenditure Limit Statement:
(Ca/PERS and Ca/STRS candida/as, j udges, judicial candidates, and candidates for local offices do not complete Part 2.)
(Check one box)
0 I accept the vo luntary expend iture ceiling for the e lection stated above.
0 I do not accept the vo luntary ex pend iture ce iling for th e electi on stated above.
Amendment:
,,;:.LI
FAX NUMBER (optional) EMAIL (optional )
STATE Z IP CODE
CA 92262
DISTRICT NUMBER , if applicable. 18] NON-PARTISAN OFF ICE
3 PARTY PREFERENCE:
2019
(Year o l Election)
(Check one box , if applicable.)
~ PRIMARY I GENE RAL
D SPECIAL I RUNOF F
0 I did not exceed th e expenditure ceil ing in the primary or s pecial election held on: _J_J __ and I accept th e voluntary ex penditure ce ili ng for
th e general or special run-off election .
(Mark {(applicable)
0 On _}____} __ , I co ntributed personal funds in excess of th e expend iture cei ling for the election stated a bove.
3. Verification :
I certify under penalty of perjury under the laws of the State of California that the foregoi ng is true and correct.
Executed on ~O::..r.14{.....,JI!I...4-i(/t.-..e:..l .u..o -'-,/ql----
fmoh th, day, yeb r)
S ig nature __ ..., FPPC Fo rm 501 (August/2018)
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